Saturday, July 5, 2025 7/5/2025

Incorporating PRO Data into RA Clinical Encounters using Health-IT (PACT)

Award Number: R01HS025405
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/01/2018
PERIOD OF PERFORMANCE END DATE: 01/31/2024

Group Awards By:

View Award Description

Incorporating PRO Data into RA Clinical Encounters using Health-IT (PACT) - Project Summary/Abstract The effective use of patient-reported outcomes (PROs) data is anticipated to play a critical role in improving health care delivery, patient experiences with care, and outcomes. In rheumatoid arthritis (RA), a complex chronic condition characterized by joint pain and inflammation, validated PROs have been used over the past several decades to assess levels of RA disease activity and functional status. Routine assessment of PROs is now recommended by American College of Rheumatology (ACR) guidelines, and quality measures to encourage the regular collection of RA PROs have been endorsed by the National Quality Forum. Treatment algorithms for RA rely on PROs to guide clinical decisions around use of disease-modifying drugs. Although the effective use of PRO data in RA is known to improve health outcomes, the routine use of PROs in patients with RA is inconsistent. Existing electronic health records (EHRs) are unable to effectively import PRO data or visualize PROs in a way that physicians and patients can easily understand. In response to SEN (NOT-HS-16-015), the Incorporating PRO Data into RA Clinical Encounters using Health- IT (PACT) study aims to build an application (using real-time EHR data obtained via an application programming interface) to visually represent the disease course of an individual with RA, including clinical and patient-reported information that is framed within the context of accepted clinical targets. We will engage a professional design team to work with patients and clinicians to develop a prototype front-end user-interface that can be used to communicate PRO data to patients and clinicians during routine clinical care (Aim 1). We will then work with our clinical informatics teams to build the application in 2 health systems and test them for acceptability and effects on clinical work flow (Aim 2). Finally, we will test the hypothesis that use of the PRO application during a clinical encounter will improve process and health outcomes, and patient-centered outcomes including medication adherence and shared decision making, for patients with RA using a pragmatic trial design (Aim 3). Incorporating real-time, easy-to-interpret visualizations of PRO data into clinical encounters has great potential to increase patient engagement and shared-decision making, and will drive the adoption of proven strategies (“treat-to-target”) to improve health outcomes and reduce disability. This study aims to develop scalable health IT interventions to fill the current gap in use of PRO data in practice, with the goal of improving outcomes for the 1.3 million Americans with RA.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	5/21/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $292,643 )
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	1/4/2022	NON-COMPETING CONTINUATION	$292,643
														Subtotal = $292,643

Issue Date FY: 2021 ( Subtotal = $297,667 )
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	1/15/2021	NON-COMPETING CONTINUATION	$297,667
														Subtotal = $297,667

Issue Date FY: 2020 ( Subtotal = $301,447 )
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	1/13/2020	NON-COMPETING CONTINUATION	$301,447
														Subtotal = $301,447

Issue Date FY: 2019 ( Subtotal = $310,417 )
2019	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	1/4/2019	NON-COMPETING CONTINUATION	$310,417
														Subtotal = $310,417

Issue Date FY: 2018 ( Subtotal = $319,322 )
2018	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 420	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	3/21/2018	NEW	$319,322
														Subtotal = $319,322

Grand Total All Awards = $1,521,496

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Incorporating PRO Data into RA Clinical Encounters using Health-IT (PACT)

Award Number: R01HS025405

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/01/2018

PERIOD OF PERFORMANCE END DATE: 01/31/2024

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer